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Individual

DR. KIM TRACEY LOZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403-2404
(319) 398-1720
(319) 398-2046
Mailing address
PO BOX 3178, CEDAR RAPIDS, IA 52406-3178
(319) 398-1583
(319) 399-2085

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00491
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3066555
IA
01
56478
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
07/08/2005
Last updated
09/11/2013
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